Pharmacotherapy For Gastrointestinal And Hepatobiliary Disorders
Introduction
According to the case study, the patient is likely cannot be suffering from Hepatitis C because the patient could be experiencing symptoms such as itchy skin, drowsiness, fatigue, weight loss, and poor appetite. The symptoms exacerbated by the patient such as diarrhea, vomiting, and nausea as not common among Hepatitis patients. The patient could be having withdrawal symptoms of drug abuse thus vomiting and diarrhea. However, the patient’s symptoms should be accompanied by hallucinations if they were withdrawals. In this paper, I will explain my diagnosis, provide an appropriate drug therapy and justify my recommendations.
Diagnosis
The patient could be experiencing gastroenteritis. According to Wechsler and Hirano (2018), gastroenteritis is a condition that is manifested through diarrhea, vomiting, and nausea. Gastroenteritis can be contracted through body contact with infected people. If a person is healthy, he/she can recover from the condition even without medications. Since the patient was on prednisone treatment, these medications might have compromised the patient’s immune system. The diagnosis of gastroenteritis may be based on symptomatology and physical examination and stool test could be used to reveal the presence of etiologic agents (Pesek & Gupta, 2020).
Drug Therapy and Justification
In this scenario, I would recommend self-care since gastroenteritis is not treated with a specific treatment. The use of antibiotics could manage the symptoms. Nonetheless, antibiotics would lead to resistance, hence, I am hesitant to prescribe antibiotics. I would advise the patient to avoid oral feeding for 6 to 8 hours. This is to allow the gut to rest. Depending on the severity of the symptoms, a prescription of ondansetron with promethazine would be appropriate (Sieg et al., 2017). However, avoiding promethazine would protect the patient from severe side effects. If the symptoms do not subdue after 3 to 4 days, the patient should return to the clinic.
Conclusion
I believe that the patient in the case study could be suffering from gastroenteritis and the best treatment for this condition would be self-care.
References
Pesek, R. D., & Gupta, S. K. (2020). Future therapies for eosinophilic gastrointestinal disorders. Annals of Allergy, Asthma & Immunology, 124(3), 219-226.
Sieg, A. C., Moretz, J. D., Horn, E., & Jennings, D. L. (2017). Pharmacotherapeutic management of gastrointestinal bleeding in patients with continuous‐flow left ventricular assist devices. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 37(11), 1432-1448.
Wechsler, J. B., & Hirano, I. (2018). Biological therapies for eosinophilic gastrointestinal diseases. Journal of Allergy and Clinical Immunology, 142(1), 24-31.
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Question 
Case study assigned.
Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:
Pharmacotherapy For Gastrointestinal And Hepatobiliary Disorders
Synthroid 100 mcg daily
Nifedipine 30 mg daily
Prednisone 10 mg daily
Flagyl 500 mg TID
Metronidazole 250 mg daily
Vitals:
Temp: 98.8oF
Wt: 155 lbs
Ht: 5’7”
BP: 136/82
HR: 90 bpm
PE:
Eyes: EOMI
HENT: Normal
GI: Nondistended, minimal tenderness
Skin: Warm and dry
Neuro: Alert and Oriented
Psych: Appropriate mood
Introduction
Explain your diagnosis for the patient, including your rationale for the diagnosis. What labs would you order?
Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. Discuss each of the patient’s medications. Create an updated drug therapy plan.
How might you evaluate specific signs and symptoms between these potential disorders and body systems? What drug therapy plans will best address these disorders for your patients?
Justify why you would recommend this drug therapy plan for the patient. Be specific and provide examples. Use and cite at least 4 sources for written assignments.
- conclusions